Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE WISEMAN
ActiveJACKIE WISEMAN is a Addiction (Substance Use Disorder) Counselor healthcare provider located in BROOKINGS, Oregon. NPI 1184486441 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · BROOKINGS, OR
Registration Details
- NPI Number
- 1184486441
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2024 (2.3756772489621 yrs)
- Last Updated
- Jan 23, 2024
Practice Information
- Address
-
615 5TH ST # 300BROOKINGS, OR, 974159199Browse OR providers · Browse ZIP 97415
- Phone
- 8774088941
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BROOKINGS, OR
| Name | Credential | NPI |
|---|---|---|
| SANDIE LOUISE MCCRACKEN | CADC II, AAS | 1063668127 |
| MRS. JILL CAROL SCOTT | CADC 1 | 1710280367 |
| ANDREW ERIC ANDERSON | — | 1316466386 |
| TIMOTHY FERGUSON | — | 1710507629 |
| MICHAEL DUYANE BURTON | — | 1437855947 |
| ASHLEY COOK | — | 1427867381 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.